Sulfa drugs Flashcards
What enzyme do sulfonamides inhibit?
dihydropteroate synthase
What combo leads to synergistic antibiotic coverage
sulfamethoxazole/Trimethoprim (TMP-SMX)
What enzyme does Trimethoprim (TMP) inhibit?
dihydrofolate reductase
Main condition that sulfonamide and trimethoprim treat?
UTIs; prostatitis and cystitis
used in treatment of pneumocystis jiroveci pneumonia (PJP) and also prophylaxis in HIV patients?
TMP-SMX
Used in treatment of Toxoplasmosis encephalitis and prophylaxis for HIV patients?
TMP-SMX
do sulfanomides treat MRSA?
yes
Adverse effects of sulfonamides?
- LIFE THREATENING Hypersensitivity (Stevens-Johnson)
- Kernicterus
- Hemolytic anemia (X-linked G6PD deficiency)
sulfonamides and pregnancy and neonatal period (breast feeding)
NOOO. kernicterus
What birth defects can Trimethoprim cause?
How would you prevent this?
Cardiovascular defects and oral clefts
Supplement with folate